Covenant Care Ohio, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5496 Issued in OH

Legal business name

COVENANT CARE OHIO, INC.

Doing business as

Fairview Skilled Nursing and Rehabilitation Center

Practice address

4420 South Ave
Toledo, OH 43615-6417

Phone

(419) 531-4201

Fax

(419) 531-3607

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Sparks

Title

Director of Reimbursement

Phone

(949) 349-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairview Skilled Nursing and Rehabilitation Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Covenant Care California, LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1053453902

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1942330113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SOUTH AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156417",
            "telephone_number": "419-531-4201",
            "fax_number": "419-531-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SOUTH AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156417",
            "telephone_number": "419-531-4201",
            "fax_number": "419-531-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Skilled Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirby Ruth Coutinho, MD
• Marissa May Coutinho, DO
• Sandra D Covarrubias
• Nicole Covell, LISW
• Timothy Covell, D.O.
• Shawna Renee Covin Benford
• Naquasia Covington
• Umecca Diane Cowart, CNP
• Gloria Renee Marie Cowell
• Jessica Cowell

• Skilled Nursing Facility in Toledo, OH
• Providers in Toledo, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.